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1699250480
MICKL D HACKETT
CHESAPEAKE, OH
NPI
1699250480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-09-27
Last Update Date
2018-09-27
Business Address
MICKL D HACKETT CMS
95 PRIVATE DRIVE 6999
CHESAPEAKE, OH 45619-8026
Phone number: 740-532-3767
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Mailing Address
MICKL D HACKETT CMS
214 S 4TH ST
IRONTON, OH 45638-1610
Phone number: 740-532-3767
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